|
Thrombin Time SO
|
Facility
|
IP
|
$48.00
|
|
|
Service Code
|
CPT 85670
|
| Hospital Charge Code |
1600659
|
|
Hospital Revenue Code
|
305
|
| Rate for Payer: Cash Price |
$42.24
|
|
|
THROMBOLYSIS ART-INFUS(NON CORONRY)
|
Facility
|
OP
|
$12,089.00
|
|
|
Service Code
|
CPT 37211
|
| Hospital Charge Code |
2350020
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$89.88 |
| Max. Negotiated Rate |
$11,582.40 |
| Rate for Payer: Aetna Commercial |
$7,210.00
|
| Rate for Payer: Aetna Medicare |
$7,538.62
|
| Rate for Payer: Amerigroup CHIP/Medicaid |
$1,088.01
|
| Rate for Payer: Amerigroup Dual Medicare/Medicaid |
$5,025.75
|
| Rate for Payer: Amerigroup Medicare |
$5,025.75
|
| Rate for Payer: BCBS of TX Blue Advantage |
$7,675.64
|
| Rate for Payer: BCBS of TX Blue Essentials |
$9,192.38
|
| Rate for Payer: BCBS of TX Medicare |
$5,025.75
|
| Rate for Payer: BCBS of TX PPO |
$11,582.40
|
| Rate for Payer: Cash Price |
$10,638.32
|
| Rate for Payer: Cash Price |
$10,638.32
|
| Rate for Payer: Cash Price |
$10,638.32
|
| Rate for Payer: Cigna Commercial |
$11,384.78
|
| Rate for Payer: Cigna Medicaid |
$2,532.26
|
| Rate for Payer: Cigna Medicare |
$5,025.75
|
| Rate for Payer: Employer Direct Commercial |
$5,025.75
|
| Rate for Payer: Humana Medicare/TRICARE |
$5,025.75
|
| Rate for Payer: Molina CHIP/Medicaid |
$2,532.26
|
| Rate for Payer: Molina Dual Medicare/Medicaid |
$5,025.75
|
| Rate for Payer: Molina Medicare |
$5,025.75
|
| Rate for Payer: Multiplan Auto |
$7,857.85
|
| Rate for Payer: Multiplan Commercial |
$7,857.85
|
| Rate for Payer: Multiplan Workers Comp |
$7,857.85
|
| Rate for Payer: Parkland Medicaid |
$2,532.26
|
| Rate for Payer: Scott and White EPO/PPO |
$89.88
|
| Rate for Payer: Scott and White Medicare |
$5,025.75
|
| Rate for Payer: Superior Health Plan CHIP/Medicaid |
$2,532.26
|
| Rate for Payer: Superior Health Plan EPO |
$5,025.75
|
| Rate for Payer: Superior Health Plan Medicare |
$5,025.75
|
| Rate for Payer: Universal American Dual Medicare/Medicaid |
$5,025.75
|
| Rate for Payer: Universal American Medicare |
$5,025.75
|
| Rate for Payer: Wellcare Medicare |
$5,025.75
|
| Rate for Payer: Wellmed Medicare |
$5,025.75
|
|
|
THROMBOLYSIS ART-INFUS(NON CORONRY)
|
Facility
|
IP
|
$12,089.00
|
|
|
Service Code
|
CPT 37211
|
| Hospital Charge Code |
2350020
|
|
Hospital Revenue Code
|
481
|
| Rate for Payer: Cash Price |
$10,638.32
|
|
|
THROMBOLYSIS OF VEIN-INFUSION
|
Facility
|
OP
|
$4,645.00
|
|
|
Service Code
|
CPT 37212
|
| Hospital Charge Code |
2350021
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$52.13 |
| Max. Negotiated Rate |
$6,983.63 |
| Rate for Payer: Aetna Commercial |
$4,635.00
|
| Rate for Payer: Aetna Medicare |
$4,372.65
|
| Rate for Payer: Amerigroup CHIP/Medicaid |
$418.05
|
| Rate for Payer: Amerigroup Dual Medicare/Medicaid |
$2,915.10
|
| Rate for Payer: Amerigroup Medicare |
$2,915.10
|
| Rate for Payer: BCBS of TX Blue Advantage |
$4,628.04
|
| Rate for Payer: BCBS of TX Blue Essentials |
$5,542.56
|
| Rate for Payer: BCBS of TX Medicare |
$2,915.10
|
| Rate for Payer: BCBS of TX PPO |
$6,983.63
|
| Rate for Payer: Cash Price |
$4,087.60
|
| Rate for Payer: Cash Price |
$4,087.60
|
| Rate for Payer: Cash Price |
$4,087.60
|
| Rate for Payer: Cigna Commercial |
$6,603.56
|
| Rate for Payer: Cigna Medicaid |
$1,518.93
|
| Rate for Payer: Cigna Medicare |
$2,915.10
|
| Rate for Payer: Employer Direct Commercial |
$2,915.10
|
| Rate for Payer: Humana Medicare/TRICARE |
$2,915.10
|
| Rate for Payer: Molina CHIP/Medicaid |
$1,518.93
|
| Rate for Payer: Molina Dual Medicare/Medicaid |
$2,915.10
|
| Rate for Payer: Molina Medicare |
$2,915.10
|
| Rate for Payer: Multiplan Auto |
$3,019.25
|
| Rate for Payer: Multiplan Commercial |
$3,019.25
|
| Rate for Payer: Multiplan Workers Comp |
$3,019.25
|
| Rate for Payer: Parkland Medicaid |
$1,518.93
|
| Rate for Payer: Scott and White EPO/PPO |
$52.13
|
| Rate for Payer: Scott and White Medicare |
$2,915.10
|
| Rate for Payer: Superior Health Plan CHIP/Medicaid |
$1,518.93
|
| Rate for Payer: Superior Health Plan EPO |
$2,915.10
|
| Rate for Payer: Superior Health Plan Medicare |
$2,915.10
|
| Rate for Payer: Universal American Dual Medicare/Medicaid |
$2,915.10
|
| Rate for Payer: Universal American Medicare |
$2,915.10
|
| Rate for Payer: Wellcare Medicare |
$2,915.10
|
| Rate for Payer: Wellmed Medicare |
$2,915.10
|
|
|
THROMBOLYSIS OF VEIN-INFUSION
|
Facility
|
IP
|
$4,645.00
|
|
|
Service Code
|
CPT 37212
|
| Hospital Charge Code |
2350021
|
|
Hospital Revenue Code
|
481
|
| Rate for Payer: Cash Price |
$4,087.60
|
|
|
THROMBOPLASTIN TIME SUBSTITUTION
|
Facility
|
OP
|
$95.00
|
|
|
Service Code
|
CPT 85732
|
| Hospital Charge Code |
1600337
|
|
Hospital Revenue Code
|
305
|
| Min. Negotiated Rate |
$2.52 |
| Max. Negotiated Rate |
$61.75 |
| Rate for Payer: Aetna Commercial |
$6.79
|
| Rate for Payer: Aetna Medicare |
$9.70
|
| Rate for Payer: Amerigroup CHIP/Medicaid |
$2.52
|
| Rate for Payer: Amerigroup Dual Medicare/Medicaid |
$6.47
|
| Rate for Payer: Amerigroup Medicare |
$6.47
|
| Rate for Payer: BCBS of TX Blue Advantage |
$10.68
|
| Rate for Payer: BCBS of TX Blue Essentials |
$12.81
|
| Rate for Payer: BCBS of TX Medicare |
$6.47
|
| Rate for Payer: BCBS of TX PPO |
$14.30
|
| Rate for Payer: Cash Price |
$83.60
|
| Rate for Payer: Cash Price |
$83.60
|
| Rate for Payer: Cigna Medicaid |
$6.47
|
| Rate for Payer: Cigna Medicare |
$6.47
|
| Rate for Payer: Employer Direct Commercial |
$6.47
|
| Rate for Payer: Humana Medicare/TRICARE |
$6.47
|
| Rate for Payer: Molina CHIP/Medicaid |
$6.47
|
| Rate for Payer: Molina Dual Medicare/Medicaid |
$6.47
|
| Rate for Payer: Molina Medicare |
$6.47
|
| Rate for Payer: Multiplan Auto |
$61.75
|
| Rate for Payer: Multiplan Commercial |
$61.75
|
| Rate for Payer: Multiplan Workers Comp |
$61.75
|
| Rate for Payer: Parkland Medicaid |
$6.47
|
| Rate for Payer: Scott and White EPO/PPO |
$8.09
|
| Rate for Payer: Scott and White Medicare |
$6.47
|
| Rate for Payer: Superior Health Plan CHIP/Medicaid |
$6.47
|
| Rate for Payer: Superior Health Plan EPO |
$6.47
|
| Rate for Payer: Superior Health Plan Medicare |
$6.47
|
| Rate for Payer: Universal American Dual Medicare/Medicaid |
$6.47
|
| Rate for Payer: Universal American Medicare |
$6.47
|
| Rate for Payer: Wellcare Medicare |
$6.47
|
| Rate for Payer: Wellmed Medicare |
$6.47
|
|
|
THYROGLOBULIN ANTIBODY
|
Facility
|
OP
|
$89.00
|
|
|
Service Code
|
CPT 86800
|
| Hospital Charge Code |
1700343
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$6.20 |
| Max. Negotiated Rate |
$57.85 |
| Rate for Payer: Aetna Commercial |
$16.71
|
| Rate for Payer: Aetna Medicare |
$23.86
|
| Rate for Payer: Amerigroup CHIP/Medicaid |
$6.20
|
| Rate for Payer: Amerigroup Dual Medicare/Medicaid |
$15.91
|
| Rate for Payer: Amerigroup Medicare |
$15.91
|
| Rate for Payer: BCBS of TX Blue Advantage |
$26.25
|
| Rate for Payer: BCBS of TX Blue Essentials |
$31.50
|
| Rate for Payer: BCBS of TX Medicare |
$15.91
|
| Rate for Payer: BCBS of TX PPO |
$35.16
|
| Rate for Payer: Cash Price |
$78.32
|
| Rate for Payer: Cash Price |
$78.32
|
| Rate for Payer: Cigna Medicaid |
$15.91
|
| Rate for Payer: Cigna Medicare |
$15.91
|
| Rate for Payer: Employer Direct Commercial |
$15.91
|
| Rate for Payer: Humana Medicare/TRICARE |
$15.91
|
| Rate for Payer: Molina CHIP/Medicaid |
$15.91
|
| Rate for Payer: Molina Dual Medicare/Medicaid |
$15.91
|
| Rate for Payer: Molina Medicare |
$15.91
|
| Rate for Payer: Multiplan Auto |
$57.85
|
| Rate for Payer: Multiplan Commercial |
$57.85
|
| Rate for Payer: Multiplan Workers Comp |
$57.85
|
| Rate for Payer: Parkland Medicaid |
$15.91
|
| Rate for Payer: Scott and White EPO/PPO |
$19.89
|
| Rate for Payer: Scott and White Medicare |
$15.91
|
| Rate for Payer: Superior Health Plan CHIP/Medicaid |
$15.91
|
| Rate for Payer: Superior Health Plan EPO |
$15.91
|
| Rate for Payer: Superior Health Plan Medicare |
$15.91
|
| Rate for Payer: Universal American Dual Medicare/Medicaid |
$15.91
|
| Rate for Payer: Universal American Medicare |
$15.91
|
| Rate for Payer: Wellcare Medicare |
$15.91
|
| Rate for Payer: Wellmed Medicare |
$15.91
|
|
|
Thyroglobulin Antibody SO
|
Facility
|
OP
|
$89.00
|
|
|
Service Code
|
CPT 86800
|
| Hospital Charge Code |
1700343
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$6.20 |
| Max. Negotiated Rate |
$57.85 |
| Rate for Payer: Aetna Commercial |
$16.71
|
| Rate for Payer: Aetna Medicare |
$23.86
|
| Rate for Payer: Amerigroup CHIP/Medicaid |
$6.20
|
| Rate for Payer: Amerigroup Dual Medicare/Medicaid |
$15.91
|
| Rate for Payer: Amerigroup Medicare |
$15.91
|
| Rate for Payer: BCBS of TX Blue Advantage |
$26.25
|
| Rate for Payer: BCBS of TX Blue Essentials |
$31.50
|
| Rate for Payer: BCBS of TX Medicare |
$15.91
|
| Rate for Payer: BCBS of TX PPO |
$35.16
|
| Rate for Payer: Cash Price |
$78.32
|
| Rate for Payer: Cash Price |
$78.32
|
| Rate for Payer: Cigna Medicaid |
$15.91
|
| Rate for Payer: Cigna Medicare |
$15.91
|
| Rate for Payer: Employer Direct Commercial |
$15.91
|
| Rate for Payer: Humana Medicare/TRICARE |
$15.91
|
| Rate for Payer: Molina CHIP/Medicaid |
$15.91
|
| Rate for Payer: Molina Dual Medicare/Medicaid |
$15.91
|
| Rate for Payer: Molina Medicare |
$15.91
|
| Rate for Payer: Multiplan Auto |
$57.85
|
| Rate for Payer: Multiplan Commercial |
$57.85
|
| Rate for Payer: Multiplan Workers Comp |
$57.85
|
| Rate for Payer: Parkland Medicaid |
$15.91
|
| Rate for Payer: Scott and White EPO/PPO |
$19.89
|
| Rate for Payer: Scott and White Medicare |
$15.91
|
| Rate for Payer: Superior Health Plan CHIP/Medicaid |
$15.91
|
| Rate for Payer: Superior Health Plan EPO |
$15.91
|
| Rate for Payer: Superior Health Plan Medicare |
$15.91
|
| Rate for Payer: Universal American Dual Medicare/Medicaid |
$15.91
|
| Rate for Payer: Universal American Medicare |
$15.91
|
| Rate for Payer: Wellcare Medicare |
$15.91
|
| Rate for Payer: Wellmed Medicare |
$15.91
|
|
|
Thyroglobulin Antibody SO
|
Facility
|
IP
|
$89.00
|
|
|
Service Code
|
CPT 86800
|
| Hospital Charge Code |
1700343
|
|
Hospital Revenue Code
|
302
|
| Rate for Payer: Cash Price |
$78.32
|
|
|
.Thyroglobulin by IMA 006705 SO
|
Facility
|
OP
|
$119.00
|
|
|
Service Code
|
CPT 84432
|
| Hospital Charge Code |
1700954
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$6.26 |
| Max. Negotiated Rate |
$77.35 |
| Rate for Payer: Aetna Commercial |
$16.87
|
| Rate for Payer: Aetna Medicare |
$24.09
|
| Rate for Payer: Amerigroup CHIP/Medicaid |
$6.26
|
| Rate for Payer: Amerigroup Dual Medicare/Medicaid |
$16.06
|
| Rate for Payer: Amerigroup Medicare |
$16.06
|
| Rate for Payer: BCBS of TX Blue Advantage |
$26.50
|
| Rate for Payer: BCBS of TX Blue Essentials |
$31.80
|
| Rate for Payer: BCBS of TX Medicare |
$16.06
|
| Rate for Payer: BCBS of TX PPO |
$35.49
|
| Rate for Payer: Cash Price |
$104.72
|
| Rate for Payer: Cash Price |
$104.72
|
| Rate for Payer: Cigna Medicaid |
$16.06
|
| Rate for Payer: Cigna Medicare |
$16.06
|
| Rate for Payer: Employer Direct Commercial |
$16.06
|
| Rate for Payer: Humana Medicare/TRICARE |
$16.06
|
| Rate for Payer: Molina CHIP/Medicaid |
$16.06
|
| Rate for Payer: Molina Dual Medicare/Medicaid |
$16.06
|
| Rate for Payer: Molina Medicare |
$16.06
|
| Rate for Payer: Multiplan Auto |
$77.35
|
| Rate for Payer: Multiplan Commercial |
$77.35
|
| Rate for Payer: Multiplan Workers Comp |
$77.35
|
| Rate for Payer: Parkland Medicaid |
$16.06
|
| Rate for Payer: Scott and White EPO/PPO |
$20.08
|
| Rate for Payer: Scott and White Medicare |
$16.06
|
| Rate for Payer: Superior Health Plan CHIP/Medicaid |
$16.06
|
| Rate for Payer: Superior Health Plan EPO |
$16.06
|
| Rate for Payer: Superior Health Plan Medicare |
$16.06
|
| Rate for Payer: Universal American Dual Medicare/Medicaid |
$16.06
|
| Rate for Payer: Universal American Medicare |
$16.06
|
| Rate for Payer: Wellcare Medicare |
$16.06
|
| Rate for Payer: Wellmed Medicare |
$16.06
|
|
|
.Thyroglobulin by RIA 503905 SO
|
Facility
|
OP
|
$119.00
|
|
|
Service Code
|
CPT 84432
|
| Hospital Charge Code |
1700954
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$6.26 |
| Max. Negotiated Rate |
$77.35 |
| Rate for Payer: Aetna Commercial |
$16.87
|
| Rate for Payer: Aetna Medicare |
$24.09
|
| Rate for Payer: Amerigroup CHIP/Medicaid |
$6.26
|
| Rate for Payer: Amerigroup Dual Medicare/Medicaid |
$16.06
|
| Rate for Payer: Amerigroup Medicare |
$16.06
|
| Rate for Payer: BCBS of TX Blue Advantage |
$26.50
|
| Rate for Payer: BCBS of TX Blue Essentials |
$31.80
|
| Rate for Payer: BCBS of TX Medicare |
$16.06
|
| Rate for Payer: BCBS of TX PPO |
$35.49
|
| Rate for Payer: Cash Price |
$104.72
|
| Rate for Payer: Cash Price |
$104.72
|
| Rate for Payer: Cigna Medicaid |
$16.06
|
| Rate for Payer: Cigna Medicare |
$16.06
|
| Rate for Payer: Employer Direct Commercial |
$16.06
|
| Rate for Payer: Humana Medicare/TRICARE |
$16.06
|
| Rate for Payer: Molina CHIP/Medicaid |
$16.06
|
| Rate for Payer: Molina Dual Medicare/Medicaid |
$16.06
|
| Rate for Payer: Molina Medicare |
$16.06
|
| Rate for Payer: Multiplan Auto |
$77.35
|
| Rate for Payer: Multiplan Commercial |
$77.35
|
| Rate for Payer: Multiplan Workers Comp |
$77.35
|
| Rate for Payer: Parkland Medicaid |
$16.06
|
| Rate for Payer: Scott and White EPO/PPO |
$20.08
|
| Rate for Payer: Scott and White Medicare |
$16.06
|
| Rate for Payer: Superior Health Plan CHIP/Medicaid |
$16.06
|
| Rate for Payer: Superior Health Plan EPO |
$16.06
|
| Rate for Payer: Superior Health Plan Medicare |
$16.06
|
| Rate for Payer: Universal American Dual Medicare/Medicaid |
$16.06
|
| Rate for Payer: Universal American Medicare |
$16.06
|
| Rate for Payer: Wellcare Medicare |
$16.06
|
| Rate for Payer: Wellmed Medicare |
$16.06
|
|
|
.Thyroglobulin by RIA 503905 SO
|
Facility
|
IP
|
$119.00
|
|
|
Service Code
|
CPT 84432
|
| Hospital Charge Code |
1700954
|
|
Hospital Revenue Code
|
300
|
| Rate for Payer: Cash Price |
$104.72
|
|
|
Thyroid Antibodies SO
|
Facility
|
OP
|
$173.00
|
|
|
Service Code
|
CPT 86376
|
| Hospital Charge Code |
1703644
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$5.67 |
| Max. Negotiated Rate |
$112.45 |
| Rate for Payer: Aetna Commercial |
$15.28
|
| Rate for Payer: Aetna Medicare |
$21.82
|
| Rate for Payer: Amerigroup CHIP/Medicaid |
$5.67
|
| Rate for Payer: Amerigroup Dual Medicare/Medicaid |
$14.55
|
| Rate for Payer: Amerigroup Medicare |
$14.55
|
| Rate for Payer: BCBS of TX Blue Advantage |
$24.01
|
| Rate for Payer: BCBS of TX Blue Essentials |
$28.81
|
| Rate for Payer: BCBS of TX Medicare |
$14.55
|
| Rate for Payer: BCBS of TX PPO |
$32.16
|
| Rate for Payer: Cash Price |
$152.24
|
| Rate for Payer: Cash Price |
$152.24
|
| Rate for Payer: Cigna Medicaid |
$14.55
|
| Rate for Payer: Cigna Medicare |
$14.55
|
| Rate for Payer: Employer Direct Commercial |
$14.55
|
| Rate for Payer: Humana Medicare/TRICARE |
$14.55
|
| Rate for Payer: Molina CHIP/Medicaid |
$14.55
|
| Rate for Payer: Molina Dual Medicare/Medicaid |
$14.55
|
| Rate for Payer: Molina Medicare |
$14.55
|
| Rate for Payer: Multiplan Auto |
$112.45
|
| Rate for Payer: Multiplan Commercial |
$112.45
|
| Rate for Payer: Multiplan Workers Comp |
$112.45
|
| Rate for Payer: Parkland Medicaid |
$14.55
|
| Rate for Payer: Scott and White EPO/PPO |
$18.19
|
| Rate for Payer: Scott and White Medicare |
$14.55
|
| Rate for Payer: Superior Health Plan CHIP/Medicaid |
$14.55
|
| Rate for Payer: Superior Health Plan EPO |
$14.55
|
| Rate for Payer: Superior Health Plan Medicare |
$14.55
|
| Rate for Payer: Universal American Dual Medicare/Medicaid |
$14.55
|
| Rate for Payer: Universal American Medicare |
$14.55
|
| Rate for Payer: Wellcare Medicare |
$14.55
|
| Rate for Payer: Wellmed Medicare |
$14.55
|
|
|
Thyroidectomy, including substernal thyroid; cervical approach
|
Facility
|
OP
|
$12,223.34
|
|
|
Service Code
|
CPT 60271
|
| Hospital Charge Code |
36060271
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$118.13 |
| Max. Negotiated Rate |
$12,223.34 |
| Rate for Payer: Aetna Commercial |
$6,077.00
|
| Rate for Payer: Aetna Medicare |
$8,033.61
|
| Rate for Payer: Amerigroup Dual Medicare/Medicaid |
$5,355.74
|
| Rate for Payer: Amerigroup Medicare |
$5,355.74
|
| Rate for Payer: BCBS of TX Blue Advantage |
$8,100.39
|
| Rate for Payer: BCBS of TX Blue Essentials |
$9,701.06
|
| Rate for Payer: BCBS of TX Medicare |
$5,355.74
|
| Rate for Payer: BCBS of TX PPO |
$12,223.34
|
| Rate for Payer: Cigna Commercial |
$12,132.30
|
| Rate for Payer: Cigna Medicare |
$5,355.74
|
| Rate for Payer: Employer Direct Commercial |
$5,355.74
|
| Rate for Payer: Humana Medicare/TRICARE |
$5,355.74
|
| Rate for Payer: Molina Dual Medicare/Medicaid |
$5,355.74
|
| Rate for Payer: Molina Medicare |
$5,355.74
|
| Rate for Payer: Multiplan Auto |
$10,000.00
|
| Rate for Payer: Multiplan Commercial |
$10,000.00
|
| Rate for Payer: Multiplan Workers Comp |
$10,000.00
|
| Rate for Payer: Scott and White EPO/PPO |
$118.13
|
| Rate for Payer: Scott and White Medicare |
$5,355.74
|
| Rate for Payer: Superior Health Plan EPO |
$5,355.74
|
| Rate for Payer: Superior Health Plan Medicare |
$5,355.74
|
| Rate for Payer: Universal American Dual Medicare/Medicaid |
$5,355.74
|
| Rate for Payer: Universal American Medicare |
$5,355.74
|
| Rate for Payer: Wellcare Medicare |
$5,355.74
|
| Rate for Payer: Wellmed Medicare |
$5,355.74
|
|
|
Thyroidectomy, removal of all remaining thyroid tissue following previous removal of a portion of th
|
Facility
|
OP
|
$12,223.34
|
|
|
Service Code
|
CPT 60260
|
| Hospital Charge Code |
36060260
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$118.13 |
| Max. Negotiated Rate |
$12,223.34 |
| Rate for Payer: Aetna Commercial |
$6,077.00
|
| Rate for Payer: Aetna Medicare |
$8,033.61
|
| Rate for Payer: Amerigroup Dual Medicare/Medicaid |
$5,355.74
|
| Rate for Payer: Amerigroup Medicare |
$5,355.74
|
| Rate for Payer: BCBS of TX Blue Advantage |
$8,100.39
|
| Rate for Payer: BCBS of TX Blue Essentials |
$9,701.06
|
| Rate for Payer: BCBS of TX Medicare |
$5,355.74
|
| Rate for Payer: BCBS of TX PPO |
$12,223.34
|
| Rate for Payer: Cigna Commercial |
$12,132.30
|
| Rate for Payer: Cigna Medicare |
$5,355.74
|
| Rate for Payer: Employer Direct Commercial |
$5,355.74
|
| Rate for Payer: Humana Medicare/TRICARE |
$5,355.74
|
| Rate for Payer: Molina Dual Medicare/Medicaid |
$5,355.74
|
| Rate for Payer: Molina Medicare |
$5,355.74
|
| Rate for Payer: Multiplan Auto |
$10,000.00
|
| Rate for Payer: Multiplan Commercial |
$10,000.00
|
| Rate for Payer: Multiplan Workers Comp |
$10,000.00
|
| Rate for Payer: Scott and White EPO/PPO |
$118.13
|
| Rate for Payer: Scott and White Medicare |
$5,355.74
|
| Rate for Payer: Superior Health Plan EPO |
$5,355.74
|
| Rate for Payer: Superior Health Plan Medicare |
$5,355.74
|
| Rate for Payer: Universal American Dual Medicare/Medicaid |
$5,355.74
|
| Rate for Payer: Universal American Medicare |
$5,355.74
|
| Rate for Payer: Wellcare Medicare |
$5,355.74
|
| Rate for Payer: Wellmed Medicare |
$5,355.74
|
|
|
Thyroidectomy, total or complete
|
Facility
|
OP
|
$12,180.95
|
|
|
Service Code
|
CPT 60240
|
| Hospital Charge Code |
36060240
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$116.39 |
| Max. Negotiated Rate |
$12,180.95 |
| Rate for Payer: Aetna Commercial |
$7,210.00
|
| Rate for Payer: Aetna Medicare |
$7,915.38
|
| Rate for Payer: Amerigroup CHIP/Medicaid |
$1,888.85
|
| Rate for Payer: Amerigroup Dual Medicare/Medicaid |
$5,276.92
|
| Rate for Payer: Amerigroup Medicare |
$5,276.92
|
| Rate for Payer: BCBS of TX Blue Advantage |
$8,072.30
|
| Rate for Payer: BCBS of TX Blue Essentials |
$9,667.42
|
| Rate for Payer: BCBS of TX Medicare |
$5,276.92
|
| Rate for Payer: BCBS of TX PPO |
$12,180.95
|
| Rate for Payer: Cigna Commercial |
$11,953.74
|
| Rate for Payer: Cigna Medicaid |
$1,888.85
|
| Rate for Payer: Cigna Medicare |
$5,276.92
|
| Rate for Payer: Employer Direct Commercial |
$5,276.92
|
| Rate for Payer: Humana Medicare/TRICARE |
$5,276.92
|
| Rate for Payer: Molina CHIP/Medicaid |
$1,888.85
|
| Rate for Payer: Molina Dual Medicare/Medicaid |
$5,276.92
|
| Rate for Payer: Molina Medicare |
$5,276.92
|
| Rate for Payer: Multiplan Auto |
$10,000.00
|
| Rate for Payer: Multiplan Commercial |
$10,000.00
|
| Rate for Payer: Multiplan Workers Comp |
$10,000.00
|
| Rate for Payer: Parkland Medicaid |
$1,888.85
|
| Rate for Payer: Scott and White EPO/PPO |
$116.39
|
| Rate for Payer: Scott and White Medicare |
$5,276.92
|
| Rate for Payer: Superior Health Plan CHIP/Medicaid |
$1,888.85
|
| Rate for Payer: Superior Health Plan EPO |
$5,276.92
|
| Rate for Payer: Superior Health Plan Medicare |
$5,276.92
|
| Rate for Payer: Universal American Dual Medicare/Medicaid |
$5,276.92
|
| Rate for Payer: Universal American Medicare |
$5,276.92
|
| Rate for Payer: Wellcare Medicare |
$5,276.92
|
| Rate for Payer: Wellmed Medicare |
$5,276.92
|
|
|
THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC
|
Facility
|
IP
|
$28,346.10
|
|
|
Service Code
|
MSDRG 626
|
| Min. Negotiated Rate |
$12,933.54 |
| Max. Negotiated Rate |
$28,346.10 |
| Rate for Payer: Aetna Commercial |
$16,783.88
|
| Rate for Payer: Aetna Medicare |
$20,251.59
|
| Rate for Payer: Amerigroup Dual Medicare/Medicaid |
$13,501.06
|
| Rate for Payer: Amerigroup Medicare |
$13,501.06
|
| Rate for Payer: BCBS of TX Blue Advantage |
$12,933.54
|
| Rate for Payer: BCBS of TX Blue Essentials |
$16,619.78
|
| Rate for Payer: BCBS of TX Medicare |
$13,501.06
|
| Rate for Payer: BCBS of TX PPO |
$18,467.14
|
| Rate for Payer: Cigna Commercial |
$19,215.67
|
| Rate for Payer: Cigna Medicare |
$13,501.06
|
| Rate for Payer: Employer Direct Commercial |
$13,501.06
|
| Rate for Payer: Humana Medicare/TRICARE |
$13,501.06
|
| Rate for Payer: Molina Dual Medicare/Medicaid |
$13,501.06
|
| Rate for Payer: Molina Medicare |
$13,501.06
|
| Rate for Payer: Multiplan Auto |
$28,346.10
|
| Rate for Payer: Multiplan Commercial |
$28,346.10
|
| Rate for Payer: Multiplan Workers Comp |
$28,346.10
|
| Rate for Payer: Scott and White EPO/PPO |
$13,054.12
|
| Rate for Payer: Scott and White Medicare |
$13,501.06
|
| Rate for Payer: Superior Health Plan EPO |
$13,501.06
|
| Rate for Payer: Superior Health Plan Medicare |
$13,501.06
|
| Rate for Payer: Universal American Dual Medicare/Medicaid |
$13,501.06
|
| Rate for Payer: Universal American Medicare |
$13,501.06
|
| Rate for Payer: Wellcare Medicare |
$13,501.06
|
| Rate for Payer: Wellmed Medicare |
$13,501.06
|
|
|
THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC
|
Facility
|
IP
|
$55,502.80
|
|
|
Service Code
|
MSDRG 625
|
| Min. Negotiated Rate |
$23,021.34 |
| Max. Negotiated Rate |
$55,502.80 |
| Rate for Payer: Aetna Commercial |
$32,863.50
|
| Rate for Payer: Aetna Medicare |
$35,550.96
|
| Rate for Payer: Amerigroup Dual Medicare/Medicaid |
$23,700.64
|
| Rate for Payer: Amerigroup Medicare |
$23,700.64
|
| Rate for Payer: BCBS of TX Blue Advantage |
$23,021.34
|
| Rate for Payer: BCBS of TX Blue Essentials |
$28,720.87
|
| Rate for Payer: BCBS of TX Medicare |
$23,700.64
|
| Rate for Payer: BCBS of TX PPO |
$31,913.32
|
| Rate for Payer: Cigna Commercial |
$37,625.06
|
| Rate for Payer: Cigna Medicare |
$23,700.64
|
| Rate for Payer: Employer Direct Commercial |
$23,700.64
|
| Rate for Payer: Humana Medicare/TRICARE |
$23,700.64
|
| Rate for Payer: Molina Dual Medicare/Medicaid |
$23,700.64
|
| Rate for Payer: Molina Medicare |
$23,700.64
|
| Rate for Payer: Multiplan Auto |
$55,502.80
|
| Rate for Payer: Multiplan Commercial |
$55,502.80
|
| Rate for Payer: Multiplan Workers Comp |
$55,502.80
|
| Rate for Payer: Scott and White EPO/PPO |
$25,560.50
|
| Rate for Payer: Scott and White Medicare |
$23,700.64
|
| Rate for Payer: Superior Health Plan EPO |
$23,700.64
|
| Rate for Payer: Superior Health Plan Medicare |
$23,700.64
|
| Rate for Payer: Universal American Dual Medicare/Medicaid |
$23,700.64
|
| Rate for Payer: Universal American Medicare |
$23,700.64
|
| Rate for Payer: Wellcare Medicare |
$23,700.64
|
| Rate for Payer: Wellmed Medicare |
$23,700.64
|
|
|
THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$23,484.00
|
|
|
Service Code
|
MSDRG 627
|
| Min. Negotiated Rate |
$8,757.38 |
| Max. Negotiated Rate |
$23,484.00 |
| Rate for Payer: Aetna Commercial |
$13,905.00
|
| Rate for Payer: Aetna Medicare |
$17,512.42
|
| Rate for Payer: Amerigroup Dual Medicare/Medicaid |
$11,674.95
|
| Rate for Payer: Amerigroup Medicare |
$11,674.95
|
| Rate for Payer: BCBS of TX Blue Advantage |
$8,757.38
|
| Rate for Payer: BCBS of TX Blue Essentials |
$11,196.12
|
| Rate for Payer: BCBS of TX Medicare |
$11,674.95
|
| Rate for Payer: BCBS of TX PPO |
$12,440.61
|
| Rate for Payer: Cigna Commercial |
$15,919.68
|
| Rate for Payer: Cigna Medicare |
$11,674.95
|
| Rate for Payer: Employer Direct Commercial |
$11,674.95
|
| Rate for Payer: Humana Medicare/TRICARE |
$11,674.95
|
| Rate for Payer: Molina Dual Medicare/Medicaid |
$11,674.95
|
| Rate for Payer: Molina Medicare |
$11,674.95
|
| Rate for Payer: Multiplan Auto |
$23,484.00
|
| Rate for Payer: Multiplan Commercial |
$23,484.00
|
| Rate for Payer: Multiplan Workers Comp |
$23,484.00
|
| Rate for Payer: Scott and White EPO/PPO |
$10,815.00
|
| Rate for Payer: Scott and White Medicare |
$11,674.95
|
| Rate for Payer: Superior Health Plan EPO |
$11,674.95
|
| Rate for Payer: Superior Health Plan Medicare |
$11,674.95
|
| Rate for Payer: Universal American Dual Medicare/Medicaid |
$11,674.95
|
| Rate for Payer: Universal American Medicare |
$11,674.95
|
| Rate for Payer: Wellcare Medicare |
$11,674.95
|
| Rate for Payer: Wellmed Medicare |
$11,674.95
|
|
|
Thyroid Peroxidase (TPO) Ab SO
|
Facility
|
OP
|
$173.00
|
|
|
Service Code
|
CPT 86376
|
| Hospital Charge Code |
1703644
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$5.67 |
| Max. Negotiated Rate |
$112.45 |
| Rate for Payer: Aetna Commercial |
$15.28
|
| Rate for Payer: Aetna Medicare |
$21.82
|
| Rate for Payer: Amerigroup CHIP/Medicaid |
$5.67
|
| Rate for Payer: Amerigroup Dual Medicare/Medicaid |
$14.55
|
| Rate for Payer: Amerigroup Medicare |
$14.55
|
| Rate for Payer: BCBS of TX Blue Advantage |
$24.01
|
| Rate for Payer: BCBS of TX Blue Essentials |
$28.81
|
| Rate for Payer: BCBS of TX Medicare |
$14.55
|
| Rate for Payer: BCBS of TX PPO |
$32.16
|
| Rate for Payer: Cash Price |
$152.24
|
| Rate for Payer: Cash Price |
$152.24
|
| Rate for Payer: Cigna Medicaid |
$14.55
|
| Rate for Payer: Cigna Medicare |
$14.55
|
| Rate for Payer: Employer Direct Commercial |
$14.55
|
| Rate for Payer: Humana Medicare/TRICARE |
$14.55
|
| Rate for Payer: Molina CHIP/Medicaid |
$14.55
|
| Rate for Payer: Molina Dual Medicare/Medicaid |
$14.55
|
| Rate for Payer: Molina Medicare |
$14.55
|
| Rate for Payer: Multiplan Auto |
$112.45
|
| Rate for Payer: Multiplan Commercial |
$112.45
|
| Rate for Payer: Multiplan Workers Comp |
$112.45
|
| Rate for Payer: Parkland Medicaid |
$14.55
|
| Rate for Payer: Scott and White EPO/PPO |
$18.19
|
| Rate for Payer: Scott and White Medicare |
$14.55
|
| Rate for Payer: Superior Health Plan CHIP/Medicaid |
$14.55
|
| Rate for Payer: Superior Health Plan EPO |
$14.55
|
| Rate for Payer: Superior Health Plan Medicare |
$14.55
|
| Rate for Payer: Universal American Dual Medicare/Medicaid |
$14.55
|
| Rate for Payer: Universal American Medicare |
$14.55
|
| Rate for Payer: Wellcare Medicare |
$14.55
|
| Rate for Payer: Wellmed Medicare |
$14.55
|
|
|
Thyroid Peroxidase (TPO) Ab SO
|
Facility
|
IP
|
$173.00
|
|
|
Service Code
|
CPT 86376
|
| Hospital Charge Code |
1703644
|
|
Hospital Revenue Code
|
302
|
| Rate for Payer: Cash Price |
$152.24
|
|
|
Thyroid Stim Immunoglobulin SO
|
Facility
|
IP
|
$233.00
|
|
|
Service Code
|
CPT 84445
|
| Hospital Charge Code |
1706076
|
|
Hospital Revenue Code
|
301
|
| Rate for Payer: Cash Price |
$205.04
|
|
|
Thyroid Stim Immunoglobulin SO
|
Facility
|
OP
|
$233.00
|
|
|
Service Code
|
CPT 84445
|
| Hospital Charge Code |
1706076
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$19.84 |
| Max. Negotiated Rate |
$151.45 |
| Rate for Payer: Aetna Commercial |
$53.41
|
| Rate for Payer: Aetna Medicare |
$76.29
|
| Rate for Payer: Amerigroup CHIP/Medicaid |
$19.84
|
| Rate for Payer: Amerigroup Dual Medicare/Medicaid |
$50.86
|
| Rate for Payer: Amerigroup Medicare |
$50.86
|
| Rate for Payer: BCBS of TX Blue Advantage |
$83.92
|
| Rate for Payer: BCBS of TX Blue Essentials |
$100.70
|
| Rate for Payer: BCBS of TX Medicare |
$50.86
|
| Rate for Payer: BCBS of TX PPO |
$112.40
|
| Rate for Payer: Cash Price |
$205.04
|
| Rate for Payer: Cash Price |
$205.04
|
| Rate for Payer: Cigna Medicaid |
$50.86
|
| Rate for Payer: Cigna Medicare |
$50.86
|
| Rate for Payer: Employer Direct Commercial |
$50.86
|
| Rate for Payer: Humana Medicare/TRICARE |
$50.86
|
| Rate for Payer: Molina CHIP/Medicaid |
$50.86
|
| Rate for Payer: Molina Dual Medicare/Medicaid |
$50.86
|
| Rate for Payer: Molina Medicare |
$50.86
|
| Rate for Payer: Multiplan Auto |
$151.45
|
| Rate for Payer: Multiplan Commercial |
$151.45
|
| Rate for Payer: Multiplan Workers Comp |
$151.45
|
| Rate for Payer: Parkland Medicaid |
$50.86
|
| Rate for Payer: Scott and White EPO/PPO |
$63.58
|
| Rate for Payer: Scott and White Medicare |
$50.86
|
| Rate for Payer: Superior Health Plan CHIP/Medicaid |
$50.86
|
| Rate for Payer: Superior Health Plan EPO |
$50.86
|
| Rate for Payer: Superior Health Plan Medicare |
$50.86
|
| Rate for Payer: Universal American Dual Medicare/Medicaid |
$50.86
|
| Rate for Payer: Universal American Medicare |
$50.86
|
| Rate for Payer: Wellcare Medicare |
$50.86
|
| Rate for Payer: Wellmed Medicare |
$50.86
|
|
|
Thyroid Stimulating Hormone
|
Facility
|
OP
|
$502.00
|
|
|
Service Code
|
CPT 84443
|
| Hospital Charge Code |
1602275
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$6.55 |
| Max. Negotiated Rate |
$326.30 |
| Rate for Payer: Aetna Commercial |
$17.64
|
| Rate for Payer: Aetna Medicare |
$25.20
|
| Rate for Payer: Amerigroup CHIP/Medicaid |
$6.55
|
| Rate for Payer: Amerigroup Dual Medicare/Medicaid |
$16.80
|
| Rate for Payer: Amerigroup Medicare |
$16.80
|
| Rate for Payer: BCBS of TX Blue Advantage |
$27.72
|
| Rate for Payer: BCBS of TX Blue Essentials |
$33.26
|
| Rate for Payer: BCBS of TX Medicare |
$16.80
|
| Rate for Payer: BCBS of TX PPO |
$37.13
|
| Rate for Payer: Cash Price |
$441.76
|
| Rate for Payer: Cash Price |
$441.76
|
| Rate for Payer: Cigna Medicaid |
$16.80
|
| Rate for Payer: Cigna Medicare |
$16.80
|
| Rate for Payer: Employer Direct Commercial |
$16.80
|
| Rate for Payer: Humana Medicare/TRICARE |
$16.80
|
| Rate for Payer: Molina CHIP/Medicaid |
$16.80
|
| Rate for Payer: Molina Dual Medicare/Medicaid |
$16.80
|
| Rate for Payer: Molina Medicare |
$16.80
|
| Rate for Payer: Multiplan Auto |
$326.30
|
| Rate for Payer: Multiplan Commercial |
$326.30
|
| Rate for Payer: Multiplan Workers Comp |
$326.30
|
| Rate for Payer: Parkland Medicaid |
$16.80
|
| Rate for Payer: Scott and White EPO/PPO |
$21.00
|
| Rate for Payer: Scott and White Medicare |
$16.80
|
| Rate for Payer: Superior Health Plan CHIP/Medicaid |
$16.80
|
| Rate for Payer: Superior Health Plan EPO |
$16.80
|
| Rate for Payer: Superior Health Plan Medicare |
$16.80
|
| Rate for Payer: Universal American Dual Medicare/Medicaid |
$16.80
|
| Rate for Payer: Universal American Medicare |
$16.80
|
| Rate for Payer: Wellcare Medicare |
$16.80
|
| Rate for Payer: Wellmed Medicare |
$16.80
|
|
|
Thyroid Stimulating Hormone
|
Facility
|
IP
|
$502.00
|
|
|
Service Code
|
CPT 84443
|
| Hospital Charge Code |
1602275
|
|
Hospital Revenue Code
|
301
|
| Rate for Payer: Cash Price |
$441.76
|
|
